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Holistic Management of Pulmonary Fibrosis: A Comprehensive Review
Inés Palacio1, Fernanda Hernández-González1, Jacobo Sellarés1
1Pulmonology Department, Hospital Clinic, 08402 Barcelona, Spain.
Managing pulmonary fibrosis requires a holistic, patient-centered strategy beyond antifibrotic drugs. Integrating comprehensive care improves patient quality of life and well-being.
Area of Science:
- Pulmonology
- Internal Medicine
Background:
- Pulmonary fibrosis, including idiopathic pulmonary fibrosis (IPF) and progressive fibrosing interstitial lung diseases (PF-ILDs), presents significant morbidity and mortality.
- Current disease-centered management with antifibrotic therapies is insufficient for addressing patients' complex needs.
Purpose of the Study:
- To advocate for a holistic, patient-centered approach in managing pulmonary fibrosis.
- To review evidence supporting integrated care dimensions and identify implementation barriers.
Main Methods:
- Comprehensive literature review of holistic care components for pulmonary fibrosis.
- Analysis of barriers to implementing integrated care models.
- Exploration of future perspectives including precision medicine.
Main Results:
- Holistic care integrates pharmacological treatment with comorbidity assessment, pulmonary rehabilitation, psychosocial support, nutritional optimization, palliative care, social support, and digital health.
- Barriers include healthcare fragmentation, lack of multidisciplinary protocols, and resource limitations.
Conclusions:
- A shift towards comprehensive, multidisciplinary care models is essential for improving outcomes and quality of life in patients with fibrosing ILDs.
- Future strategies should focus on precision medicine and integrated care to enhance patient well-being.
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